[Halpern v. Wake Forest University Health Sciences is a ] Fourth Circuit decision issued earlier this week involving the discharge from medical school of a student afflicted with ADHD. The panel unanimously rejected his ADA claim, holding that he was not "qualified" with or without accommodation of his disability. The opinion is noteworthy for its clarity on how this kind of claim is to be analyzed and for its definition of the degree of deference to be shown to a medical school's decision about allowing its students to pursue a degree in order to become a physician.